Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.71 / $237.40 / $469.28	Facility		$185.71	$237.40	$469.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $237.40 / $343.94	Professional		$185.71	$237.40	$343.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.54 / $556.45 / $1,091.08	Facility		$545.54	$556.45	$1,091.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.35 / $276.35 / $832.80	Professional		$276.35	$276.35	$832.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $422.69 / $454.51 / $454.51	Facility		$422.69	$454.51	$454.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $454.51 / $454.51 / $454.51	Professional		$454.51	$454.51	$454.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Facility		$297.02	$297.02	$297.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $316.64	Professional		$216.82	$216.82	$316.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $545.54 / $1,227.47	Facility		$319.00	$545.54	$1,227.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.69 / $401.79 / $981.97	Professional		$281.69	$401.79	$981.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $297.95 / $297.95	Facility		$297.95	$297.95	$297.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $327.97 / $391.19	Professional		$297.95	$327.97	$391.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $597.00	Facility		$297.02	$297.02	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $702.39	Professional		$216.82	$297.02	$702.39
United Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $272.16 / $498.96	Professional		$181.44	$272.16	$498.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $327.97 / $327.97 / $364.51	Facility		$327.97	$327.97	$364.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $327.97 / $348.46	Professional		$297.95	$327.97	$348.46